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2.1 Exogenous and endogenous substances 2.1.1 Exogenous substances 2.1.1.1 Per- and poly-fluoroalkyl substances Perfluoroalkyl chemicals, including perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS), are found in all populations worldwide, regardless of geographical location, due to their extensive use (11)

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30 to 70% of patients undergoing bariatric surgery develop some degree of malnutrition including proteincalorie deficiency, fat malabsorption, fat soluble vitamins, Vitamins B12 and C, iron, calcium, copper and zinc